Doctor Name: | OSBORNE BLOUNT |
NPI Number: | 1083055362 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2311 W El Segundo Blvd Hawthorne, CA - 902503315 |
Business Phone Number: | 3233460960 |
Business Fax Number: | |
Mailing Address: | 419 E 59th Pl, LOS ANGELES |
State: | CA |
Postal Code: | 900031303 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |